Relationship between implementing interpersonal communication and mass education campaigns in emergency settings and use of reproductive healthcare services: evidence from Darfur, Sudan.
Relationship between implementing interpersonal communication and mass education campaigns in emergency settings and use of reproductive healthcare services: evidence from Darfur, Sudan.
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DOI：
10.1136/bmjopen-2015-008285
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发表时间：
2015-09-15
期刊：
影响因子：
2.9
通讯作者：
Vanching U
中科院分区：
文献类型：
--
作者：
Adam IF;Nakamura K;Kizuki M;Al Rifai R;Vanching U
(1)研究在提供人际沟通（IPC）和大众教育运动之后，紧急情况下妇女对生殖保健服务的认识和利用的变化；(2)描述与国内流离失所者（IDP）营地中生殖保健服务使用相关的因素。在苏丹达尔富尔的三个难民营中，共有88 984名国内流离失所者。640名15至49岁的妇女在过去两年内在难民营中怀孕，她们每隔26个月参加两次独立的横断面调查。IPC和大众教育运动，社区卫生工作者通过家访/住所、诊所会诊、公开会议和其他方式传播信息，以提高认识和促进生殖保健服务的使用。了解产前护理（ANC）和破伤风类毒素（TT）疫苗接种服务的存在，接受ANC和破伤风类毒素疫苗接种，分娩地点和产后护理（PNC）的使用。在最初和随访期间，接受家访、参加门诊和公开会议的妇女比例分别从61.6%增加到86.7%、从43.0%增加到68.8%、从3.8%增加到39.8%。在多变量调整后，随访中有更多的妇女知道ANC （OR 18.6, 95% CI 13.1至26.5）和TT疫苗接种（OR 3.2, 95% CI 2.4至4.4）。在多变量调整后，与最初的调查相比，更多的妇女接受了≥3次ANC就诊（OR 8.8, 95% CI 6.4至12.0）和≥3剂TT (OR 2.5, 95% CI 1.9至3.3)，在医疗机构分娩（OR 5.4, 95% CI 4.0至7.4），并接受了PNC就诊（OR 5.5, 95% CI 4.0至7.7）。在后续调查中，对生殖保健服务的认识和利用程度较高。综合IPC和大众教育运动对于改善紧急情况下妇女的生殖健康是有效的。
(1) To examine changes in women's awareness and utilisation of reproductive healthcare services in emergency settings following provision of interpersonal communication (IPC) and mass education campaigns, and (2) to describe factors associated with reproductive healthcare service use in internally displaced person (IDP) camps. Three camps containing 88 984 IDPs in Darfur, Sudan. 640 women aged 15−49 who had experienced pregnancy in the camp during the previous 2 years were enrolled in each of two independent cross-sectional surveys 26 months apart. IPC and mass education campaigns where community health workers disseminated information by home/shelter visits, clinic sessions, public meetings and other means to raise awareness and promote reproductive healthcare service use. Awareness of the existence of antenatal care (ANC) and tetanus toxoid (TT) vaccination services, reception of ANC and TT vaccination, place of delivery and use of postnatal care (PNC). The percentage of women who received home visits, and attended in-clinic sessions and public meetings increased from 61.6% to 86.7%, from 43.0% to 68.8%, and from 3.8% to 39.8%, respectively, between the initial and follow-up surveys. More women were aware of ANC (OR 18.6, 95% CI 13.1 to 26.5) and TT vaccination (OR 3.2, 95% CI 2.4 to 4.4) in the follow-up than the initial survey, after multivariable adjustment. More women received ≥3 ANC visits (OR 8.8, 95% CI 6.4 to 12.0) and ≥3 doses of TT (OR 2.5, 95% CI 1.9 to 3.3), delivered at a healthcare facility (OR 5.4, 95% CI 4.0 to 7.4) and received a PNC visit (OR 5.5, 95% CI 4.0 to 7.7) in the follow-up than in the initial survey, after multivariable adjustment. Awareness about and utilisation of reproductive healthcare services were higher in the follow-up survey. An integrated IPC and mass education campaign is effective for improving women's reproductive health in emergency settings.